The Family and Medical Leave Act provides eligible workers with up to 12 weeks of unpaid, job-protected leave for caregiving responsibilities. A new analysis from KFF Health News highlights significant shortcomings in the decades-old federal policy, however.

Many employees remain ineligible for FMLA protections due to narrow eligibility criteria. The law's requirement that workers must have been employed for at least 12 months and work at a company with 50 or more employees excludes a substantial portion of the workforce.

Beyond eligibility, the leave is unpaid, creating financial hardship for caregivers who need time off. The policy also does not cover caregiving for extended family members or domestic partners, limiting its scope in modern family structures.

These gaps fuel ongoing debate about whether Congress should expand FMLA or create paid leave alternatives. Policymakers face pressure to address the growing caregiving needs of an aging population while balancing employer concerns about costs and operational disruptions.

Some argue that private sector solutions and state-level initiatives are better suited to tailor benefits without a one-size-fits-all federal mandate.